Organization Active NPI

DRS. Graham and Fortune, PLLC

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1023234325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DRS. GRAHAM AND FORTUNE, PLLC
Practice address
9001 Galene Dr
Louisville, KY 40299-1521
Phone
(502) 267-8176
Fax
(502) 267-8177
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tammy Elizabeth Graham-Fortune, DMDNPI 1396740247
Title
Dentist
Phone
(502) 267-8176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X KY Primary

Addresses

Primary practice location

9001 Galene Dr
Louisville, KY 40299-1521

Mailing address

9001 Galene Dr
Louisville, KY 40299-1521
Phone (502) 267-8176

National Provider Directory

National Provider Directory

Locations

9001 Galene Dr
Louisville, KY 40299
Phone (502) 267-8176

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023234325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 GALENE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991521",
            "telephone_number": "502-267-8176",
            "fax_number": "502-267-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 GALENE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991521",
            "telephone_number": "502-267-8176",
            "fax_number": "502-267-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GRAHAM AND FORTUNE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM-FORTUNE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "502-267-8176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.